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BRUCE STUART ALLEN M.D.

>> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558603969

Individual Registrant:
 BRUCE STUART ALLEN M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
1338 OLD FORSYTH RD  MACON, GA 31210-7205 US
Tel: 478-471-7788  Fax: --

Contact information for business:
1338 OLD FORSYTH RD  MACON, GA 31210-7205 US
Tel: 478-471-7788  Fax: --

Registration Information:
NPI: 1558603969
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XAllopathic & Osteopathic Physicians
Dermatology
GA20294

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GEORGIA MEDICAL LICENCE NUMBER20294GA01




HEALTH CARE JOBS GA - Page 1



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